SCAI Comments on CMS MEDCAC Panel Regarding TAVR
July 26, 2018—The Society for Cardiovascular Angiography and Interventions (SCAI) released a statement commenting on the meeting of the Centers for Medicare & Medicaid Services (CMS) panel of the Medicare Evidence Development and Coverage Advisory Committee (MEDCAC), which was convened on July 25 to provide recommendations regarding procedural volume requirements for hospitals and heart team members to begin and maintain TAVR programs. The MEDCAC panel specifically focused on an appraisal of the state of evidence for surgical aortic valve replacement (SAVR), TAVR, percutaneous coronary intervention (PCI), and other relevant structural heart disease procedural volume requirements. The background and preview of the panel meeting was reported here on July 2.
SCAI partnered with other medical organizations, including the American Association for Thoracic Surgery, American College of Cardiology, and the Society of Thoracic Surgeons, to develop a comprehensive presentation to discuss both clinical and scientific evidence pertaining to procedural volume requirements for SAVR, TAVR, PCI, and other relevant structural heart disease procedures as they relate to TAVR programs.
According to SCAI, the society's presentation highlighted the need to focus on patient-centered care for aortic stenosis through consideration of the patient experience and pathway to care. This includes patient education, physician education, and heart valve team evaluation combined with shared decision-making for patients and family.
SCAI spokesperson, Ted Feldman, MD, highlighted that upon determination of treatment, it should always be, “the right treatment for the right patient, at the right time.” Dr. Feldman also highlighted the importance of medical professionalism amongst physicians, noting the American Board of Internal Medicine’s physician charter, which states that physicians are expected to work collaboratively to maximize patient care, be respectful of one another, and participate in the processes of self-regulation.
The presentation concluded by stating SCAI’s commitment to quality and education that focused on quality and patient outcomes. "The society strongly believes in patients having clear transparency in outcome reporting as they share in the decision-making with their heart care team in determining the best treatment option," stated SCAI in the press release.